Human Animal Relationships (HAR) Introduction. Paul Waldau, D.Phil., J.D., M.A. Tufts University Cummings School of Veterinary Medicine

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1 Human Animal Relationships (HAR) Introduction Paul Waldau, D.Phil., J.D., M.A. Tufts University Cummings School of Veterinary Medicine

2 Welcome Tufts Cummings School of Veterinary Medicine HAR Human-Animals Studies Ethics and Values Signature Program

3 Purpose of This Course In the Syllabus is this language: When the course is completed students should be able to identify some of the most basic issues and debates in veterinary medicine Consider that while veterinarians are almost universally respected and acknowledged as healers, there is occasional shrill criticism

4 Where is Veterinary Medicine Headed? Claim at beginning of Canadian Veterinary Journal article by Frederick Leighton (see session 10): Over the past several decades, the veterinary profession in North America has become severely imbalanced and now serves society in a very lopsided way. What we do, we do very well. But what we do not do, or do too little, is a shameful disservice to society.

5 More Shrill Criticism Matthew Scully, former special assistant and deputy director of speechwriting to President George W. Bush, wrote in 2002: The profound betrayal of veterinary ethics everywhere around us the sworn obligation of every veterinarian to protect animal health [and] relieve animal suffering. Some shill of a vet comes by every few days to check on the stock. [Dominion, 2002, page 268]

6 Responding Ethics and Values at TCSVM (Tufts Cummings School of Veterinary Medicine) First year Human Animal Relationships Second year Law and Veterinary Medicine Third year Ethics and Veterinary Medicine Third year Euthanasia Fourth year Ethics Seminar

7 The Personal Side Who is in this class? 80 DVM students 13 MAPP students TCSVM and Center for Animals faculty, and guest lecturers (Weeks 2-4) Using the chance to read widely, to ask questions, and to listen carefully to both lecturers and fellow students At the beginning, suspending your present ideas of HAR

8 The Educational Side General Objectives When course is completed, students should be able to: Identify some of the most basic issues and debates in veterinary medicine, including issues in veterinary education, the veterinary profession, and public health. Students should be able to relate these issues to these distinct categories of nonhuman animals: Wildlife Companion animals Research animals Farmed or food animals

9 General Objectives Describe trends, changes and ferment in social values regarding nonhuman animals. Compare and contrast roles of veterinarian as individual practitioner, as participant in veterinary education, and as member of the veterinary profession.

10 General Objectives Recognize the value of developing a culture of discussion a community that promotes Open inquiry Respect for empirical realities The importance of evidence-based medicine The possibility of human achievement through a combination of careful inquiry (science) and concern for others (ethics)

11 Specific Objectives When the course is completed, students should be able to: Compare and contrast the categories of the 6 boxes diagram Describe the most significant ethical issues involved in euthanasia Describe what is meant by evidence-based medicine and why this notion is so important to both science and ethics

12 Specific Objectives Recognize that researchers are producing information about links between mistreatment of humans and cruelty to nonhuman animals Grasp importance of the debates over research and the search for alternatives to use of whole animals Know meaning of term conservation medicine Recognize roles veterinarians can play with local shelters and in shelter medicine generally Recognize the increasing importance of veterinarians in the field of public health

13 Schedule 1. Session 1 Introduction to Human-Animal Relationships, Dr. Waldau 2. Session 2 Euthanasia in Veterinary Medicine and Society, Dr. Dinnage 3. Session 3 The Link Abuse of Animals, Harm to Humans, Dr. Lorna Grande 4. Session 4 Animals in Research: A Spectrum of Attitudes, A Range of Issues, Dr. Jerald Silverman 5. Session 5 Conservation Medicine, Dr. Rutberg and Wildlife Clinic Faculty

14 Schedule 6. Session 6 Alternatives in Education and Research, Dr. Kumar 7. Session 7 Companion Animals and Shelter Issues, including Shelter Medicine, Dr. Rauch 8. Session 8 Wildlife, Dr. Rutberg 9. Session 9 Farm Animal Issues, Dr. Waldau 10. Session 10 Public Health, Dr. Lindenmayer 11. Session 11 Clinical Medicine An Introduction, Dr. Shaw

15 Course Basics Each student must sign in each session Reflection Journal assignments are in the syllabus Two parts: Looking Back reflection on discussion in prior week Looking Forward reflection on current issue or one or more of the readings It is important, and hard, to express your views on certain subjects. Tradition at Tufts to have vets engage with important social issues.

16 Student-led Tradition Culture of dialogue Goals of EVSP and ethics classes develop a culture of communication, critical thinking, respectful engagement of opposing opinions Long tradition of student participation and suggestions Community contributions/insights are an important part of the values decisions at the school these need to be considered carefully and should be part of many discussions

17 Reading for Other Classes Not Allowed unless you get prior permission This course should compete with other courses for your attention and time Politeness to visitors Contributions to fellow students Above all, basic importance of issues

18 Class-wide Discussions Realities of discussion among 90+ students Public speaking

19 More Basics Start on time, and end at 10 minutes before hour Re-start on the hour End after 50 minutes (10 minutes before hour)

20 Back to the Educational Learning Together Winged Migration, by Jacques Perrin a truly international story an earlier globalization Extraordinary list of thanks in the credits What it takes to tell an international story Such breadth is an integral part of HAR...and one of the reasons learning together is essential

21 the importance of actual realities Science-based inquiries and the need to get it right Ethics-based inquiries and assessing the impact of our actions Another reality-based issue Evidence-based medicine common sense thus not always mentioned prominently But need for evidence-based work always there Fundamental requirement of good medicine and good ethics

22 Back to the Personal Personal archeology Each of you brings a unique story to this course because each has met a unique subset of the animal world Betty Lawrence s life (Reading #2) Our task is to work with the diverse points of view (Reading #1 high profile discussions) Our task get differing views to dance in meaningful conversation. We re not here to tell you how to think but, instead, to facilitate your own thinking about your views. Thereby you can see fundamental features of your own views AND human-animal relationships.

23 The Social Element Consider an argument about the emergence of a new social ethic re nonhuman animals By prominent veterinary ethicist Dr. Bernard Rollin, Distinguished Professor and Director of Bioethical Planning, Colorado State University Rollin has taught a course in veterinary medical ethics at Colorado State since 1978 A principal architect of federal legislation dealing with the welfare of experimental animals

24 Rollin s arguments about changing social consensus on animals 1985 federal law betokened a changed social consensus regarding animals = new attitudes ferment Sept 2005 JAVMA News reports Rollin talk re farm animals at AVMA s annual meeting Week 9 we ll see the underlying materials We use these topics to raise questions about the role of veterinarians in shaping public policy regarding human-animal relationships.

25 Central Concept 6 Boxes Diagram Purpose a simple mapping of different sources of Right and Wrong

26 6 Boxes Diagram Law Ethics Prudence Normative Personal Social Professional

27 Introduction to Minutes Papers First session will test you at beginning Here s the question: Draw the 6 Boxes diagram The point to have you be familiar with this basic map

28 Back to the Big Picture What we are doing? ( We here is all of us) getting you ready for the role of professional in the wider society by considering topics that come under big descriptions like human-animal relationships human-animal studies veterinarians and social values even animal law" or animal rights

29 How We Do This Look at what is happening what has happened what can happen among veterinarians locally veterinarians in US (think locally, act globally) veterinarians worldwide the publics around the world

30 Two Long-term Relationships Jane Goodall and two HAR issues 40 year relationship Jane has had with Fifi speaks of HAR potential general situation in Gombe bespeaks of another potent relationship Gombe = 10 x 2 miles on shore of Lake Tanganyika but around Gombe, things have changed dramatically Our own conception of our relationship to other animals is also changing dramatically One good development, one very scary

31 How do we explore HARs? Many use language about the importance of the Human-Animal Bond (HAB) even as there is increasing utilization and marginalization of nonhumans. Legal changes inside and outside US Social changes around the world increased meat eating Ferment A good starting point observations from within the veterinary profession

32 DVM Newsmagazine article Activist agendas sway veterinary profession Activist agendas sway veterinary profession. Jennifer Fiala. DVM Newsmagazine Online. Advanstar Communications Inc. Oct 1,

33 Who is causing the ferment? Veterinarians? 4-year-long inquiry what should your role be? Or is it activists? 10,000+ groups around the world Animal Protection fundraising is about $2 billion per annum out of an annual US total of $175 billion Foundations, which give about $30 billion per year, only give about $30 million to animal causes Animal protection grant numbers are much lower than environmental grants Are scientists causing the ferment? Delivering the goods versus bias and misuse

34 British Medical Journal article Where is the evidence that animal experimentation benefits humans? Few methods exist for evaluating the clinical relevance or importance of basic animal research, and so its clinical (as distinct from scientific) contribution remains uncertain. (Pound P. Ebrahim S. Sandercock P. Bracken MB. Roberts I. Reviewing Animal Trials Systematically (RATS) Group. Where is the evidence that animal research benefits humans? [see comment]. BMJ. 2004;328: )

35 Who else might be causing the ferment? Consumers? Don t tell me, I don t want to know versus intelligent consumption Industry? Realities of economic competition Risk of self-serving rationalizations Students? young people? Women? Religion? whether engaged or disengaged, a potent force

36 Are politicians and lawyers causing the ferment? Many developments in cases, new legislation, administrative policies, and even enforcement Dominion, 2002 book by President Bush s speechwriter Text in syllabus Is this politics or is it religion?

37 Empiricism as subversive? Exploration of the world can be subversive of many assumptions we now hold Science as the premier tool of exploration true, science can be poorly done and even if well done, science can be used in highly biased ways But science has internal tools for selfcorrection Ethics as a tool of exploration The 6 Boxes there are many kind of ethics

38 Discussion Groups Group assignments Meet and designate/elect spokesperson to report orally what the group decides MAPP students have been assigned to each group

39 Today s Topic What are the four most basic issues faced by veterinary medicine today? Elect a spokesperson we ll put these issues on the board at the beginning of next session.

40 Break Group reports when we come back

41 Today s Topic What are the four most basic issues faced by veterinary medicine today?

42 Basic Issues Faced by Veterinary Medicine Today Group A: AR v AW; general ethics; Group B: cost of care; lack of large animal vets; malpractice Group C: use of lab animals for RS; Group D: euthanasia; pets as property Group E: role in public health; Group F: responsibility for conservation; convenience procedures; Group G: food animal production; bioterrorism

43 The Grey Wolf U. S. Fish and Wildlife Service

44 Getting Past Ignorance and Arrogance About Basic Facts What is the magnitude of our impacts on nonhuman animals? Estimates of number of animals involved in general uses Note different kinds of intention involved in each basic category

45 Basic Facts million laboratory animals annually in the US alone million companion animals live with humans in US More households now have companion animals than have children 10,000+ companion animals are killed per day for lack of a home 9,000-10,000 million food animals (this doesn t count fish) annually in US alone

46 Basic Facts Billions of wildlife killed annually 1 billion? 10 billion? 100 billion? Impacts here go well beyond hunting and road kill many habitats are poisoned by environmentally disruptive toxins Worldwide total, if we add in fish, is clearly in the tens of billions.

47 Human-Animal Relations An integral part of human lives Diverse in the extreme Interwoven with traditions and self-identities Subject of much controversy today Animal lover Terrorist

48 Veterinarians Role(s) in Human-Animal Relations An area sorely in need of veterinarians informed viewpoints makes this a central course. Good medicine is the ground of doing good ethics. But what is the place of the individual, of veterinary education, of the profession in the following?

49 Time Magazine, August 15, 2005 Cover story Evolution Wars The push to teach intelligent design raises a question: Does God have a place in science class? 25 states have had anti-evolution proposals at state board of education or in state legislatures since 2001 Another 9 states have had challenges in local schools or panels in 2005 alone

50 Time Magazine, August 15, 2005 Woof, Woof! Who s Next? Meet Snuppy, the first cloned puppy, a scientific tour de force and a hint of stranger things to come.

51 the future? Laboratory-cultured meat: Home, home on the strange? Associated Press, August 11, 2005 BALTIMORE --Researchers are dishing up the perfect conundrum for vegetarians -- meat grown in a laboratory dish, not on the hoof.

52 With much controversy around, which views should we present? you fill in the blanks Acknowledge the importance of freedom of expression in academic context Wide-range of views an educational opportunity Practical advantage of having been exposed to quality discussions of different points of view

53 Should we present ALL views? Consider the problems in doing so

54 NEJM article Controversial Journal Editorials Kassirer JP, Angell M. Controversial journal editorials. N Engl J Med. 1997;337:

55 What is our responsibility to seek an objective or balanced viewpoint in these articles? In the editing process we do not ask that opinion pieces hew to a middle-of-the-road view.

56 Even if it were possible to define such a thing, a journal filled with conventional wisdom would not be useful to our readers, let alone stimulating. Furthermore, a view that seems eccentric or even outrageous today may become commonplace tomorrow.

57 When we select opinion pieces for publication, therefore, we consider the importance of the topic, the novelty of the argument, and the logic and persuasiveness with which the argument is made, but we do not ask whether it conforms to today's dominant view, nor do we necessarily agree with it.

58 Since we do not try to achieve balance in opinion pieces, what about doing so by publishing opposing points of view in the same issue of the Journal?

59 publishing opposing articles on every controversial issue discussed in the pages of the Journal would not only be unwise but also tedious.

60 First, it would suggest that all issues have two, equally persuasive sides. Although the popular media, with their adversarial style and emphasis on combat, may promote that idea, we believe it is simplistic. Sometimes there are not two but many points of view.

61 Furthermore, the debate format tends to drive out considerations of the subtleties of an argument in favor of its most extreme or provocative elements, which are usually well known.

62 We also believe that trying to balance one point of view with its opposite each time we feature a controversial subject would be insulting to our readers. It would imply that they cannot evaluate an argument on its own merits or retain and modify it in the light of later arguments. Ideas, even unpopular ones, do not need antidotes.

63 Faculty Role Our role is to push you The ethics and values are yours The thinking process can be clear or muddled our task is to push you to see and clarify your own thinking processes

64 Where We Are Going Syllabus Session on euthanasia

65 Euthanasia What s in a word? Good death By whose measure? for the good of the animal in order to relieve extraordinary suffering versus Painless death of any animal that is not wanted by certain humans

66 Basic Questions How many think it is immoral to ever use euthanasia? How many think it is never wrong to kill an nonhuman animal?

67 Revisiting the Purpose of This Course enrich the student's understanding of various aspects of the human relationship to animals

68 What is the role of veterinarians in Preventing violence to companion animals Preventing violence to the human owners Human children Should you have to report? Preventing violence to wildlife Preventing violence to farm animals

69 Discussion Topics Last is complicated what counts as violence? Some argue that, under the values of our traditional husbandry ethic, some contemporary practices should be modified What is role of veterinarians on issue of controversial surgeries? Declaws Ear cropping Tail docking

70 More Discussion Topics What is the role of veterinarians in Environmental matters and environmental ethics Animal welfare Animal rights Political campaigns that deal with nonhuman animals issues Fostering cultural change

71 How to handle? What to do with a person who keeps a bird in a cage that is obviously too small? How do you approach him/her? Are there legal obligations? Are there ethical obligations?

72 What You Now Should Know What the course is about Course mechanics Importance of attendance and discussion

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